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Kittitas County <br />Review Form <br />Grants & Contract Agreement -ttY(5U <br />Today's Date Agenda Date ,I I <br />07/14/2017 1:>1 z.,oli- <br />Fund/Department <br />116-Public Health <br />Contract/Grant Information <br />Contract /Grant Agency: Interlocal Cooperation Agreement between Kittitas County Public Health and <br />City of Cle Elum (Sharps Disposal Kits) <br />Period Begin Date: Upon signature I I Period End Date: August 19, 2022 <br />Total Grant/Contract Amount: None <br />Grant/Contract Number: <br />Contract/Grant Summary: <br />The Interlocal Cooperation Agreement between Kittitas County Public Health and City of Cle Elum <br />outlines the responsibilities of each party in order to provide Sharps Disposal Kits for the safe and <br />convenient disposal of sharps to reduce the risk of sharps related injuries in the community. <br />Recommendation for Board of Health and Board of Health Review on <br />Department Head Signatu r '4C::":''':''~_-======7,A d hl inistrator <br />Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment: <br />APPROVED AS TO FORM: <br />Date <br />,'/k/~7 <br />uditor's Office Date <br />Signature of Board of Health member Date <br />Financial Information <br />Total Amount $ State Funds $ Federal Funds $ <br />Percentage County Funds Matching Funds $ CFDA# <br />Grant/Contract Review Page 1